Fluctuation

1. Tender red fluctuant swelling could mean abscess ready for I & D.

2. All fluctuant swellings are not abscesses

3. When in doubt carry out a preliminary needle aspiration for confirmation

4. Do not wait for fluctuation as a sign for abscess of parotid-perirectal area and breast (Brawny induration is adequate).















Comments

knaidoo, Australia

I CURRENTLY HAVE MULTIPLE ABCESS ON MY HEAD THAT HAS PUS AND ITS PAINING ALOT.

dr.prash, India

Can 1%xylocaine be used in inflammed parts?

Stevie, Australia

I currently have an abscess on my face in my left cheek. I have had to IV drips and am on oral antibiotics. The dr made a little cut in my face to drain it. I have been bak 2 days now and have had it squeezed and more gauze put in but it doesn't seem to be getting any better, If anything I think it's getting worse. Can someone tell me if I can get it drained because of where it is on my face? As my doctor is unsure of this.

drakshay, India

why not wait till fluctuation appears in areas like breast, parotid and perirectal area?

Carlos5, United States

I saw a pt in my clinical with a cellulitis questionable MRSA infection.
there was a pinpoint area of puss then 1cm out and around the area was an area of induration then about 1.5 inches out from the pinpoint area of puss the skin was erythemic. should this have had an I & D?